Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $21.98 / $95.16	Facility		$3.71	$21.98	$95.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.66 / $4.78	Professional		$2.59	$3.66	$4.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.26 / $3.39	Professional		$2.34	$3.26	$3.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $16.10 / $29.18	Facility		$6.05	$16.10	$29.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.78 / $5.50	Professional		$2.59	$4.78	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.32 / $29.97	Facility		$4.88	$7.32	$29.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.67 / $7.43	Professional		$3.42	$4.67	$7.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $3.27 / $4.88	Facility		$3.27	$3.27	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $10.64 / $25.12	Facility		$3.87	$10.64	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.76 / $10.23	Professional		$2.59	$3.76	$10.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.09 / $8.05	Professional		$4.36	$7.09	$8.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $4.88 / $7.16	Facility		$3.90	$4.88	$7.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.88 / $6.37	Professional		$4.59	$4.88	$6.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $961.05 / $1,456.88 / $2,185.29	Facility		$961.05	$1,456.88	$2,185.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $4.88 / $12.17	Facility		$3.92	$4.88	$12.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.80 / $7.00	Professional		$2.59	$3.80	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.80 / $4.04	Professional		$2.04	$2.80	$4.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $4.88	Professional		$2.41	$2.41	$4.88